Comparison of Ultrasound-guided Steroid Injection and Dry Needling in Piriformis Muscle Syndrome
Piriformis Muscle Syndrome
About this trial
This is an interventional treatment trial for Piriformis Muscle Syndrome focused on measuring piriformis syndrome, steroid injection, dry needling, exercise
Eligibility Criteria
Inclusion Criteria: Age between 18-60, Hip pain for ≥1 month Local piriformis pain with prolonged sitting (>20 minutes) and increased sensitivity Patients with suspected piriformis syndrome based on clinical maneuvers Signing and informed consent from showing consent to participate in the study Exclusion Criteria: Hip surgery Lumbar disc disease History of inflammatory hip disease Medical treatment for pain is started Neurological deficit Breastfeeding or pregnant Allergy to local anesthetic Use of anticoagulants Body mass index >35 Active psychiatric illness Uncontrolled hypertension and diabetes mellitus disease Noncompensated chronic lung/heart/renal failure History of vascular/tumoral disease
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Other
corticosteroid group
dry needling group
control group
In the steroid group, 4 mL lidocaine 2% + 1 mL betamethasone injection will be administered under ultrasound guidance and conventional treatment will be given (conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)
In the dry needling group, a total of 3 sessions of dry needling will be performed once a week using a 0.60×100 mm sterile needle under ultrasound guidance and conventional treatment will be given ((conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)
The conventional treatment group (control group) will be given piriformis stretching exercises including hip and knee flexion, hip abduction and external rotation in the supine position. It will be stated that patients should do 2 sets a day and each set should be 10 repetitions.